93-101278 ei.
CITY OF FEDERAL WAY MECHANICAL PERMIT PERMIT NO.:�BLD9J3m05850
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 05/27/93
Federal Way, WA 98003 BY: FC
661-4000
SITE ADDRESS: 32709 5TH AVE SW
PARCEL NO.: 926491®0070
PROJECT DESCRIPTION: HVAC a INSTALL GAS HOT WATER HEATER
— OWNER — CONTRACTOR — LENDER
ELIZABETH NANCE NORTHWEST WATER HEATER
32709 - 5TH AVE SW 8201 DURANGO ST SW
FEDERAL WAY WA 98023 TACOMA, WA WA 98499
5752 984-6404
NORTHWH103R2
FUEL TYPES.:GAS FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 0 ft HOOD..........: 0 0-3 HP • 0 MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 0 DUCT WORK.....: 0 3-15 HP • 0 MEC APPLIANCE FEES.* $ 6.50
GAS HWT • 1 WOOD STOVES...: 0 15-30 HP • 0
CONV BURNER: 0 FURN>100K • 0 30-50 HP • 0
BBQ • 0 MISC • 0 5+ HP • 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS---------
RANGE • 0 <=10,000 CFM: 0 ABOVE GROUND: 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES $ 26.50
INSPECTION RECORD
Water Line OK Mecha ical InspecNion Notes:
\ -\/7L ,
�S PIPING OK Date 4 By '.`�„��
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I
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
'''\ - a_ • 1M
OWNER OR AGENT -oft., _ C DATE % 1..
bld_mech 07/01/92
• Ci Y OF FEDERAL WAY
• BUILDINW PERMIT APP
L[ CA� N
— Please Print — 514)43 . 0,c50
TENANT NAME:
)',,VNE,A ' "LG--\40 soP A SITE LOCATIO. 9 Al J. _
DWNER'S ADDRESS - ..I '' ` - CITY t PHONE " '� r .�
DESCRIBE JOB I V1 1 L►=U • II L .
THE PROPERTY IS OWNED BY: SINGLEfM.ARRIED x PARTNERSHIP CORPORATION
:ONTF.,CTOR'S NAME Northwest- WAt-Pr g,.,,.4-er CONTRACTOR'S REG. R NORTHWH103R2
Card MIST be presented
:ONTP„ACTOR'S ADDRESS 8201 Durango sl- Sri • • CITY Tacoma PHONE 984-6404
EXPIRATION DATE I2-22-92
— OR — .
HAVE READ CHAPTER 13.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
:HAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
:ONTACT PERSON Angel Foster
PHONEg8a-640.4 • '
SEW ER DISTRICT WATER DISTRICT •
ESTIMATED PROJECT COST A et ,)-- EXISTING BUILDING VALUATION
DROFERTY TAX ACCOUNT NUMBER (71,3(0 1/9/ COT C.
_EGAL DESCRIPTION -
:If necessary, please submit a separate page with the legal description.) . . _ ..
•
C.C. Flat Recording 4 -
3UELDING SQUARE FOOTAGE:. (Existing/Proposed) 1ST• FLOOR / 2ND FLOOR • / -- -
3RD - FLOOR / BASEMENT / • - - DECK • / GARAGE • / -
SINGLE FAMILY ( ) NEW CONSTRUCTION •
) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
: ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY •
-•SQ
FI
•
• •
LUMSING FIXTURES (including rough-ins) - MECHNI A APPLIANCES — BASIC FEE S---- -
•;0. -. WATERCLOSETS � 1�
GAS PIPING, FEET -' .- . S-... .
BATHTUBS NO. FURNACE, ELEC. GAS S
SHOWERS _.. _E .. . - . ..--
_. t GAS HOT WATER tR HEA ER S- -
L.AVATORIES - • - . . . CONVERS`tON BURNER - -- .. - ---- S- -
•
SINKS BOILER, SIZE BTU S
DISH\VASHERS . . - -•---- AIR HANOC.ING UNITS - S'-"---
ELECTRIC HOT WATER HEATER -•• -•.•• HEAT PUMPS, SIZE
LAUNDRY WASHER OUTLET UNIT HEATERS S
-
_ URINALS - . - -- '--` 'AIR COOLING UNITS, SIZE - - } S'
DRINKING FOUNTAINS .- - . COMMERCIAL HOOD . . - S
SUMPS, SPRINKLER VACUUM BREAKERS OTHER S
DRAINS . ..._ ._ . .... . . . . . .. .
-- - • - OTHER -- g - - --
TOTAL FIXTURES . . _ . ...__. . . . - - - _. _ S ------
• TOTAL MECHANICAL FEE t S
•l'UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE
THER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APPLICATION IS
FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM(INCLUDING COSTS,EXPENSES,AND ATTORNEYS'
CURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM), WHICH MAY SE MADE BY ANY PERSON, INCLUOING THE UNDERSIGNED,
ED AGAINST THE CITY OF FEDERAL WAY,BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY,INCLUDING ITS
;SAND EMPLOYEES, ON THE 'CCUR"CY CF THE INFORMATION SUPPLIED TO THE CI T7-AS A PA. T OF THIS APPLICATION.
- 671_,.., S—I ' 3 ,
''GENT: rI
DATE: I